Jacobs, Elizabeth

Jacobs, Elizabeth is an individual health care provider with primary practice located at 9200 West Wisconsin Froedtert & Med College Clin - East, Milwaukee WI 53226. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as her primary health care specialty. Jacobs, Elizabeth can be contacted via phone (414) 805-3666.

Contact Information

Primary practice address
9200 West Wisconsin Froedtert & Med College Clin - East Milwaukee WI 53226
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 30127 Wisconsin

Profile Details

NPI number 1104877943
LBN Legal business name Jacobs, Elizabeth
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 15th, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104877943 NPPES
Wisconsin MEDICAID 31541800

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